[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-460456-105":59,"doc-detail-460456-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","imaging-after-pancreaticoduodenectomy-how-can-the-radiologist-help-the-surgeon","Imaging after Pancreaticoduodenectomy - How Can the Radiologist Help the Surgeon","","Pancreaticoduodenectomy is a highly complex Whipple procedure associated with substantial morbidity, making early recognition of normal postoperative appearances and complications crucial. Computed tomography is presented as the standard postoperative imaging modality due to availability, speed, and high spatial resolution, while magnetic resonance techniques have specific roles, such as MR cholangiopancreatography for confirming leaks and strictures. The article outlines expected early and late findings and summarizes clinically relevant complications after PD, including fistulae, abscess, hemorrhage, biliary injury, delayed gastric emptying, and chyle leak, emphasizing how imaging supports timely management decisions.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/imaging-after-pancreaticoduodenectomy-how-can-the-radiologist-help-the-surgeon/460456/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/imaging-after-pancreaticoduodenectomy-how-can-the-radiologist-help-the-surgeon/460456.png","ImageObject",300,407,{"name":92,"@type":93},"moss~","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-03","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why is CT the standard imaging modality after Whipple (pancreaticoduodenectomy)?","Question",{"text":113,"@type":114},"CT is preferred in the postoperative period because it is widely available, has shorter acquisition time, and provides high spatial resolution images for evaluating complications.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What is the role of MRI in the early postoperative period after pancreaticoduodenectomy?",{"text":118,"@type":114},"MRI has a limited role early after surgery due to difficulty managing respiratory motion, as patients may not cooperate because of pulmonary issues.",{"name":120,"@type":111,"acceptedAnswer":121},"Which complications after pancreaticoduodenectomy are highlighted as important imaging targets?",{"text":122,"@type":114},"Key complications include postoperative abdominal abscess, hemorrhage, biliary injuries or strictures, pancreatic fistulae, hepatic infarction, anastomosis leakage, delayed gastric emptying, and chyle leak.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},460456,1791030554,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},962090895452,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Article published online: 2025-05-27 132 Pictorial Essay  \nTHIEME  \nImaging after Pancreaticoduodenectomy: How Can the Radiologist Help the Surgeon  \nSanjay Chordiya 1 Binit Sureka 1 Tashmeen Sethi 1 Taruna Yadav 1 Vaibhav Kumar Varshney2 Subhash Chandra Soni2 Jeewan Ram Vishnoi3 Ayushi Agrawal 1  \n1 Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences Jodhpur, Jodhpur, Rajasthan, India  \n2 Department of Surgical Gastroenterology, All India Institute of Medical Sciences Jodhpur, Jodhpur, Rajasthan, India  \n3 Department of Surgical Oncology, All India Institute of Medical Sciences Jodhpur, Jodhpur, Rajasthan, India  \nIndian J Radiol Imaging 2026;36:132–140.  \nAddress for correspondence Binit Sureka, MD, MBA, FICR, EDGAR, Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan 342005, India (e-mail: [binitsurekapgi@gmail.com](binitsurekapgi@gmail.com)).  \nAbstract  \nKeywords  \n► complications  \n► leak  \n► pancreaticoduodenectomy  \nPancreaticoduodenectomy is the one of the most complex surgeries done for periampullary pathologies. Computed tomography is the imaging modality of choice in the postoperative period. The radiologist should have the knowledge regarding normal findings and complications that can be encountered postsurgery. This will help in quick decision making and timely management of these complex cases.  \nIntroduction  \nPancreaticoduodenectomy (PD) is the standard surgical management for malignancies of the head of pancreas, distal common bile duct (CBD), periampullary region, and duodenum which are deemed to be resectable and is also performed in management of selected benign pathologies. As a highly complex surgery, PD, known commonly as Whipple procedure, is associated with very high morbidity.  \nPD can be performed in two different surgical techniques: classic or conventionalWhipple procedure, which involves theresection ofpylorus, and pylorus-preserving PD. These surgical techniques are followed by creation of three anastomoses: pancreatojejunostomy (PJ), gastrojejunostomy (GJ)/duodenojejunostomy, and hepaticojejunostomy (HJ; ►Fig. 1).  \nWith rapid advancement in the surgical techniques and postoperative patient care, the mortality rates have reportedly decreased to \u003C10%from>25%a few decades ago.1 As operative mortality of this procedure has decreased, postoperative  \narticle published online May 27, 2025  \nDOI [https://doi.org/](https://doi.org/)[ ](https://doi.org/)10.1055/s-0045-1809382 . ISSN 0971-3026.  \ncomplications both early and late have become more important to identify and therefore require early management. Complications related to PD can postpone the adjuvant treatment of cancer patients and have high health care burden on patients as well as on centers.  \nComplications post-PD include postoperative abdominal abscesses, hemorrhage, biliary tract injuries or stricture, pancreatic fistulae, hepatic infarction, anastomosis leakage, delayed gastric emptying (DGE) and chyle leak. Computed tomography (CT) represents the standard imaging modality in the evaluation of complications after Whipple procedure due to its availability and lesser acquisition time and its ability to acquire high spatial resolution images of abdominal cavity. Magnetic resonance imaging has a limited role in early postoperative period due to difficulty in respiratory motion management as patients may not cooperate due to pulmonary issues. Magnetic resonance cholangiopancreatography is superior to CT for confirmation of leaks, cholangitis, and strictures.2  \n© 2025 . Indian Radiological Association. All rights reserved.  \nThis is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or b","cbCaitYSAIiGdWLA","https://ap.wps.com/l/cbCaitYSAIiGdWLA","pdf",3069201,"English","# Introduction\n# Surgical techniques and postoperative anatomy\n# Complications after pancreaticoduodenectomy\n# Expected postoperative findings\n# Imaging findings and management relevance","[{\"question\":\"Why is CT the standard imaging modality after Whipple (pancreaticoduodenectomy)?\",\"answer\":\"CT is preferred in the postoperative period because it is widely available, has shorter acquisition time, and provides high spatial resolution images for evaluating complications.\"},{\"question\":\"What is the role of MRI in the early postoperative period after pancreaticoduodenectomy?\",\"answer\":\"MRI has a limited role early after surgery due to difficulty managing respiratory motion, as patients may not cooperate because of pulmonary issues.\"},{\"question\":\"Which complications after pancreaticoduodenectomy are highlighted as important imaging targets?\",\"answer\":\"Key complications include postoperative abdominal abscess, hemorrhage, biliary injuries or strictures, pancreatic fistulae, hepatic infarction, anastomosis leakage, delayed gastric emptying, and chyle leak.\"}]","Imaging after Pancreaticoduodenectomy - How Can the Radiologist Help the Surgeon | PDF",1790758512,23]